2015 OUTREACH MINI-GRANT APPLICATION

DEADLINE: March 13, 2015

The FLLS mini-grant program helps our member libraries provide library and information resources to underserved groups and people with special needs in the FLLS service area. $15,000 is available. You may apply for a minimum award of $250, Max: $5,000.

The results will be announced May 4, 2016.

Online submissions are preferred! Visit

You may also type in this formor attach a separate typed sheet.

The completed forms can be submitted by email, delivery, mail, or fax.

All questions must be completed for consideration.

No handwritten applications will be accepted.

Need help developing your grant idea? or call (607)273-4074, x227.

1. MEMBER LIBRARY:
2. CONTACT PERSON:
3. PHONE/EMAIL:
4. PROJECT NAME

4. TARGET POPULATION(s):To qualify for this grant, your project must serve a targeted outreach population as defined by NY State Education Law 273 (1)(h). Please check one or more groups that you intend to serve with this project. In no particular order:

Educationally disadvantaged(i.e. people who have
below-average skills with reading, writing, or basic computer literacy)

Ethnic minorities

Geographicallyisolated

Jobseekers (including people who are unemployed/underemployed)

Persons with criminal records

Persons with physical, visual, or developmental disabilities

Residents of institutions(examples include correctional facilities, hospitals, youth facilities, nursing homes)

Seniors(defined as 55+)

5. PROJECT DESCRIPTION:Please provide enough information so that the Outreach Advisory Council can fully understand the project:

a)What is the overall goalof the project? Explain how it will benefit, change, or impact the individuals served.

b)How did you identify a need for this project?

c)Describe the project with as much detail as possible– what do you intend to do with the funds?:

d)How many people will benefit from this project?

e)What is the project timeline?(It must fall between June 1, 2015 and May 31, 2016)

f)If your project involves a community partner, briefly describe the role each partner will play or what service each will provide. Letters of support are required from your partnering agency.

6. EVALUATION: How will you measure the success of this project?

a)What statistics/numbers will you gather to show the impact of your project? (typical answers here might include: the number of program participants, the number of item circulations, the number of press releases)

b)Will participants fill out evaluations or report outcomes to you in other ways? Please describe:

c)Please indicate any other ways that you plan to measure or share the results of this project:

7a. BUDGET: Describe the project costs, including your in-kind contribution.

CATEGORY / PROJECT BUDGET / IN-KIND / DESCRIPTION (please include details on the cost of all purchases and the number you plan to purchase)

Personnel (includespresenters/speakers)

/ $ / $
Equipment
/ $ / $
Travel / $ / $

Materials/

Supplies

/ $ / $

Total

/ $

7b. BUDGET: Partial Funding: If we are unable to fund the requested amount, will you accept partial funding? If yes, how much and describe what you would omit:

Thank you! Send your completed application to:
Attn: Amanda Schiavulli, FLLS, 119 E. Green St, Ithaca NY 14850/